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1073052320
JOELLA LONG
BEND, OR
NPI
1073052320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T1219)
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
-- JOELLA LONG
780 NW YORK DR SUITE 204
BEND, OR 97703-1053
Phone number: 541-639-2986
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Mailing Address
-- JOELLA LONG
PO BOX 938
BEND, OR 97709-0938
Phone number: 541-639-2986
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